Individual
MR. DALE MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN CNOR RNFA
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
Mailing address
PO BOX 3049, TRUCKEE, CA 96160-3049
(530) 587-5011
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
537250
CA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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